FOUR CHOICES OF QUALITY

Transcription

1 Instruments Needle Holders 1-5 Scissors 6-12 Supercut Scissors Forceps Elevators 26 Artery Forceps (Haemostats) Ligators 30 Curettes Specula Scalpels 37 Plaster Instruments Hooks & Retractors Podiatry Clippers Rasps & Files 43 Suction & Irrigation 44 Biopsy 45 Ring Cutters 45 Dilators Towel Clips 47 Probes Rongeurs 51 Hollowware (Stainless Steel) Hollowware (Polypropylene) Sterilisation Containers 56 Orthopaedic Screw Rack 57 Instrument Kits Instrument Care 62-64

2 FOUR CHOICES OF QUALITY Our selection of HIPP, KLINI,, and SAYCO instruments offer unparalleled flexibility, quality and value. Our multitiered instrument quality selection recognises and meets a variety of clinical needs and budgets. HIPP GERMANY THEATRE Our state of the art range of Theatre Quality Instruments. All Hipp instruments are manufactured to exacting standards at the fully accredited Anton Hipp GMBH facility located in southern Germany. Crafted from the finest German stainless steel forgings for the utmost reliability, durability, consistency and precision. Incorporating the very latest technological innovations, most of these instruments are available with Tungsten Carbide inserts for added precision and lifespan. KLINI GERMANY Our new range of German theatre quality medical instruments. KLINI instruments are manufactured for us under licence by Anton Hipp. The HIPP name is synonymous with quality that has been proven time and time again with over 40 years experience in the medical instrument industry. Our new KLINI range offers German quality at a competitive price. SUPERIOR The workhorse of our three quality ranges. This accredited range was borne out of the need for high quality dependable instrumentation in today s cost-sensitive environment. Instruments are crafted from the finest quality forgings and made to our specification in state of the art fully accredited manufacturing facilities in Pakistan. Most instruments are available in a smooth satin low reflective finish. SAYCO WARD Our standard Ward Quality line. Economically priced and highly popular. This range is intended for use in applications where surgical precision is not the primary selection criterion.

3 instrument quality level HIPP KLINI theatre Germany superior NEEDLE HOLDERS 1 Mayo-Hegar Mayo-Hegar - tungsten carbide HIPP KLINI 14cm K A cm K A cm K A cm K A cm cm A cm A4211 HIPP KLINI 14cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC A cm TC A4212 Olsen-Hegar Olsen-Hegar - tungsten carbide HIPP KLINI 11cm K A cm K A cm K A4301 HIPP KLINI 11cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC A4304

4 2 NEEDLE HOLDERS instrument quality level HIPP KLINI theatre Germany superior Crile-Wood Crile-Wood tungsten carbide HIPP KLINI 15cm K A cm A cm A4419 HIPP KLINI 15cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC Derf Derf tungsten carbide HIPP KLINI 12.5cm K A4500 HIPP KLINI 12.5cm TC KTC A4501

5 instrument quality level HIPP KLINI theatre Germany superior NEEDLE HOLDERS 3 Halsey / Webster Halsey tungsten carbide HIPP KLINI serrated jaw 13cm K A4105 smooth jaw (Webster) 13cm K A4107 HIPP KLINI 13cm TC KTC A4106 Gillies Gillies tungsten carbide HIPP KLINI right hand 16cm K A4102 left hand 16cm A4103 HIPP KLINI right hand 12cm (mini) A cm TC KTC A4104 left hand 16cm A4101

6 4 NEEDLE HOLDERS instrument quality level HIPP KLINI theatre Germany superior Kilner tungsten carbide Mathieu Mathieu tungsten carbide 14cm A4146 HIPP 14cm A cm A cm A cm A cm A cm A4148 Ryder (vascular) tungsten carbide Collier Converse 16cm A4154 HIPP 12.5cm A4502 HIPP 12.5cm A4499

7 instrument quality level HIPP KLINI theatre Germany superior NEEDLE HOLDERS 5 Castraviejo with lock Castraviejo without lock 13cm A cm A cm A cm A cm A4251 With tungsten carbide jaw: 14cm HIPP TC Hegar-Baumgartner tungsten carbide Debakey tungsten carbide 18cm 20cm 23cm A4498 A4497 A4496 HIPP 13cm TC A4147

8 6 SCISSORS instrument quality level HIPP KLINI theatre Germany superior Mayo HIPP KLINI 14.5cm K A cm K A cm K A cm A cm K A cm K A cm K A cm K A cm A cm K A3214 Mayo - tungsten carbide HIPP KLINI 14.5cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC A cm TC KTC A3213 Metzenbaum Metzenbaum - tungsten carbide (fine tip) HIPP KLINI 12cm A cm K A cm A cm K A cm K A cm A cm A cm K A cm A cm K A cm K A cm A cm A3248 fine tip 15cm A3246 fine tip 15cm A3247 HIPP KLINI 14cm TC KTC A cm TC KTC A cm TC KTC A cm TC A cm TC KTC A cm TC KTC A cm TC KTC A cm TC A3261

9 instrument quality level HIPP KLINI SAYCO theatre Germany superior ward SCISSORS 7 Surgical HIPP KLINI SAYCO HIPP KLINI sharp/sharp 11cm K A3296 K A cm K A K A cm K A3290 K A cm K A K A cm A A cm A3346 sharp/blunt 11cm K A cm K A K A cm K A3292 K A cm K A K A cm A A3331 blunt/blunt 11cm A3298 A cm K A K A cm A3294 A cm K A K A cm A3330 sharp/probe 13cm A3306 first aid quality - SAYCO sharp/sharp 13cm F811 sharp/blunt 13cm F810 blunt/blunt 13cm F809 Surgical tungsten carbide HIPP KLINI HIPP sharp/sharp 14cm TC KTC A3307 TC A cm TC A3324 TC A cm TC A3333 A3334 sharp/blunt 14cm TC KTC A3308 TC A cm TC A3325 TC A cm A3335 A3336 blunt/blunt 14cm TC KTC A3309 TC A cm TC A3326 TC A cm A3337 A3338

10 8 SCISSORS instrument quality level HIPP KLINI SAYCO theatre Germany superior ward Iris Iris tungsten carbide HIPP KLINI SAYCO 9cm K A cm K A cm K A cm K A HIPP KLINI 11cm TC KTC A cm TC KTC A3148 Strabismus Kilner HIPP KLINI 13cm A cm K A3156 HIPP KLINI 11cm K A cm K A3158

11 instrument quality level HIPP theatre superior SCISSORS 9 Castroviejo Micro 12cm A3154 blunt sharp blunt/blunt 10cm sharp/sharp 10cm A3144 A3145 O Brien (Iris - angled) HIPP 9cm cm A3163

12 10 SCISSORS instrument quality level HIPP KLINI SAYCO theatre Germany superior ward Heath Suture/ligature Spencer Suture/ligature Universal Wire/ligature 12cm A cm A3403 HIPP KLINI 9cm K A cm K A cm A3402 Cuticle Fergusson Abdominal angled on the flat Sims (Uterine) Blunt/blunt 10cm A cm A1947 Nail 18cm 21cm KLINI K A3179 SAYCO 20cm A cm A cm A3178 9cm A1948 9cm A1949

13 instrument quality level HIPP KLINI SAYCO theatre Germany superior ward SCISSORS 11 Kelly Braun-Stadler Episiotomy Stevens Tenotomy HIPP 16cm A cm A3160 HIPP 14.5cm cm A3181 HIPP KLINI 11cm K A cm K A3162 Umbilical (USA) Ward Ward Black Plastic Coated Handle 10.5cm A3182 SAYCO 20cm cm SAYCO 379 B

14 instrument quality level HIPP theatre 12 SCISSORS KLINI Germany superior SAYCO ward Bandage Scissors Lister, Regular SAYCO 14.5cm A cm A cm A3140 Lister, Heavy Duty 20cm A3136 Universal/Trauma Autoclavable Colour coded plastic handles & tips Note colours may vary from those pictured. SAYCO 19cm - large Black 380 Black Green 380 Green Red 380 Red Pink 380 Pink 16cm - small Black 310 Black Green 310 Green Red 310 Red Blue 310 Blue Ochre 310 Ochre Orange 310 Orange Pink 310 Pink Purple 310 Purple Yellow 310 Yellow

15 SUPERCUT SCISSORS 13 The Supercut Advantage All Supercut Scissors are expertly manufactured from the highest quality stainless steel. The result is a sigificantly sharper instrument with super fine precision capabilities, making them ideal for a variety of surgical procedures. 1. What are Supercut Scissors? Supercut Scissors offer unrivalled quality and cutting ability and are sharper than conventional scissors. The cutting blade is razor-edged. 2. Why Supercut Scissors are better than the ordinary scissors? A specially designed razor-sharp upper blade edge that cuts effortlessly through tissue. combined with a lower blade having micro serrations to hold and prevent tissue slippage make these scissors ideal for gripping tissue and cutting interproximally. 3. What are their other advantages? Super Cut Scissors with razor edge + micro serrations ensure extremely controlled cutting in difficult areas during surgery. They cut their way forward more accurately. These scissors supersede because of their ability to cut with extreme precision right down to the tip of the blades. Literally speaking, the cutting edges obey the hands and mind of the surgeon most precisely. The cutting margins/ edges are honed to eliminate any traumatisation of the tissues during cutting action, by applying special custom-made technology. For easy identification all Hipp and Armo Supercut Scissors have black ring handles.

16 14 SUPERCUT SCISSORS instrument quality level HIPP theatre superior Iris Reynolds Stevens HIPP 11cm S AS cm S AS3153 HIPP 15cm S AS3147 HIPP 11.5cm S AS cm S AS3162 Goldman Fox Wagner Kilner HIPP 13cm S Z AS3165 HIPP 12cm S AS cm S AS3164 HIPP 13cm S AS3156

17 instrument quality level HIPP theatre superior SUPERCUT SCISSORS 15 Metzenbaum Sharp/Blunt HIPP 14cm S AS cm S AS cm S AS cm S AS3169 Metzenbaum Blunt/Blunt 11cm HIPP S cm S AS cm S AS cm S AS cm S AS cm S AS3258 Mayo HIPP 14cm S AS cm S AS cm S AS cm S AS cm S AS3209

18 16 FORCEPS instrument quality level HIPP KLINI SAYCO theatre Germany superior ward Dressing Forceps Dressing Forceps, block end blunt delicate HIPP KLINI SAYCO blunt tip 11cm A2404 blunt tip 13cm K A delicate - tip 13cm K A2403 blunt tip 14cm A2138 blunt tip 16cm K A blunt tip 18cm K A2409 blunt tip 20cm A2140 blunt tip 25cm A2141 blunt tip 30cm 481 Dressing Forceps, turnover end SAYCO blunt tip 13cm 103 blunt tip 15cm 104 Adson Forceps, serrated tips standard HIPP KLINI standard point 12cm K A2401 standard point 15cm A2407 micro point 12cm K A2400 micro McIndoe Forceps, serrated tips HIPP KLINI SAYCO 15cm K A Potts Smith Forceps, serrated tips HIPP KLINI 18cm K A cm A2136 Semken Forceps, serrated tips HIPP KLINI 12.5cm K A cm A2611

19 instrument quality level HIPP KLINI SAYCO theatre Germany superior ward FORCEPS 17 Tissue Forceps Standard HIPP KLINI 1x2 teeth 11cm A2606 1x2 teeth 13cm A2615 1x2 teeth 14cm K A2616 1x2 teeth 16cm K A2617 1x2 teeth 18cm A2624 1x2 teeth 20cm A2614 1x2 teeth 25cm A2618 2x3 teeth 12.5cm K A2621 2x3 teeth 14cm A2622 2x3 teeth 16cm A2623 Adlerkreutz HIPP 4x5 teeth 15cm Adson HIPP KLINI standard jaw, 1x2 teeth 12cm K A2600 tying platform, 1x2 teeth 12cm standard jaw, 1x2 teeth 15cm A2592 micro jaw, 1x2 teeth 12cm K A2559 micro jaw, 1x2 teeth 15cm A2591 standard micro Adson - tungsten carbide standard jaw, 1x2 teeth 12cm A2601 Adson Brown HIPP KLINI 12cm K A2554 Treves SAYCO 1x2 teeth 13cm A x2 teeth 15cm 151

20 18 FORCEPS instrument quality level HIPP KLINI theatre Germany superior Tissue Forceps (cont d) Allis KLINI 4x5 teeth 15cm K A2605 4x5 teeth 18cm A2603 Babcock 16cm A2620 Bonney KLINI 1x2 teeth 18cm K A2619 Gillies HIPP KLINI 1x2 teeth 15cm K A2625 Lane KLINI 1x2 teeth 14.5cm K A2607 Potts Smith HIPP KLINI 1x2 teeth 18cm K A2609 Semken HIPP KLINI 1x2 teeth 12.5cm K A2612 1x2 teeth 15cm K A2613

21 instrument quality level HIPP KLINI SAYCO theatre Germany superior ward FORCEPS 19 First Aid & Splinter Forceps Feilchenfeld HIPP KLINI SAYCO 9cm K A cm K A First Aid/Splinter Forceps SAYCO pointed tip 9cm A2519 F840 pointed tip 12.5cm A2520 F830 flat tip 9cm 600 slanted tip 9cm 599 Forceps with Magniifer SAYCO 10cm cm 208 Hunter Forceps HIPP KLINI no pin K with pin 10cm K A2552 with pin 10cm A2555 Stiegiltz Forceps HIPP KLINI 15cm K A2553

22 20 FORCEPS instrument quality level HIPP KLINI theatre Germany superior Aural Dressing Forceps Hartman Polypus Forceps, serrated jaws 8cm 11cm 14cm A2200 A2201 A2202 McGee Micro Ear Forceps, Micro serrated jaws 8cm 11cm A2206 A2207 Tilley Aural Dressing Forceps, serrated ends 14cm A2204 Troeltsch Aural Dressing Forcep, serrated ends HIPP KLINI 13cm K A cm A2185 Jansen Aural Dressing Forceps, serrated ends 20cm A2203

23 instrument quality level SAYCO superior ward FORCEPS 21 Catheter Forceps Magill Forceps infant 15cm A2192 child 20cm A2193 adult 25cm A2194 infant child adult 1/1 1/1 1/1 Dental Forceps Perry Dental Forceps, serrated tips 13cm A2295 London College Forceps, serrated tips angled with lock 15cm A2296 Dissecting Forceps Dissecting Forceps, pointed SAYCO 12.5cm A cm 462

24 22 FORCEPS instrument quality level HIPP SAYCO theatre superior ward Entomogical/Jewellers Forceps No.3 No.5 SAYCO No.3 super fine point 12.5cm A No.5 super fine point 11cm A No.7 super fine point 11.5cm A2527 No.7 Eye Forceps Ayer Chalazion Forceps 9cm A2189 Lambert Chalazion Forceps HIPP 9cm A2190 Desmarres Chalazion Forceps (No.1) (No.2) No.1 9cm A2516 No.2 9cm A2517 1/1 1/1 Beer Cilia Forceps HIPP 9cm A2191 Douglas Cilia Forceps 9cm A2188

25 instrument quality level HIPP KLINI theatre Germany superior FORCEPS 23 Eye Forceps (cont d) Cilia Forceps with slant edge 9cm A2186 Barraquer Cilia Forceps 9cm A2187 Graefe Iris Forceps tip length HIPP KLINI no pin fig. 1 7cm A2508 with pin fig. 1 10cm K A2511 with pin, 1x2 teeth fig. 4 K A2507 half no pin fig. 2 7cm A2509 with pin fig. 2 10cm K A2512 with pin, 1x2 teeth fig. 5 10cm K A2505 full with pin fig. 3 10cm K A2506 fig. 1 fig. 2 fig. 3 fig. 4 fig. 5 Lester Forceps, 1x2 teeth with pin 9cm A2510 no pin 7cm A2513 Castroviejo Forceps, 1x2 teeth 9cm A2514

26 24 FORCEPS instrument quality level HIPP KLINI theatre Germany superior Intestinal Clamps/Forceps Pennington Tubing Clamp 15cm A cm A2530 Sponge & Holding Forceps Foerster Forceps Rampley Forceps Lister Sinus Forceps 18cm 20cm 25cm A2538 A2542 A2537 HIPP KLINI 18cm K A cm K A cm 15cm A2521 A2522

27 instrument quality level HIPP KLINI theatre Germany superior FORCEPS 25 Steriliser Forceps Cheatle Forceps HIPP light pattern 27cm A2541 Uterine Forceps Skene Schroeder, tenaculum Schroeder-Braun, tenaculum HIPP KLINI 24cm K A2701 2x2 teeth 25cm A2702 HIPP KLINI 25cm K A2700 Bozeman, dressing Teale, vulsellum HIPP KLINI serrated, 26cm K A2628 KLINI 25cm K A2626

28 26 FORCEPS instrument quality level superior Vasectomy Forceps Vasectomy Towel Clamp Vasectomy Forceps 3mm tip 14cm A cm A5172 ELEVATORS Septum Elevator Freer, Double ended blunt/sharp 18cm A3370

29 instrument quality level HIPP KLINI SAYCO theatre Germany superior ward ARTERY FORCEPS 27 Diffenbach Hartman-Micro Micro-Mosquito 3.8cm A2090 HIPP KLINI 10cm K A cm K A2197 (1x2 teeth) 10cm A cm 12cm A2118 A2119 Halsted-Mosquito Crile HIPP KLINI SAYCO 12cm K A cm K A (1x2 teeth) 12.5cm K A cm (1x2 teeth) 12.5cm K A cm HIPP SAYCO 14cm K A cm K A cm A cm K A cm K A cm A2115

30 28 ARTERY FORCEPS instrument quality level HIPP KLINI theatre Germany superior Spencer-Wells Kelly HIPP KLINI 13cm K A cm K A cm K A cm K A cm K A cm K A2155 HIPP KLINI 14cm K A cm A cm A cm K A cm A cm A2128 Mixter Rochester-Carmalt Ferguson (Angiotribe) HIPP 18cm KLINI 16cm K A cm K A cm 20cm 17cm 20cm A2163 A2164 A2165 A2166

31 instrument quality level HIPP KLINI theatre Germany superior ARTERY FORCEPS 29 Rochester-Oschner Rochester-Pean DeBakey Atraumatic 1x2 teeth 16cm A cm A2135 1x2 teeth 16cm A2134 HIPP KLINI 20cm K A cm K A cm K A cm K A2132 HIPP 16cm cm Lahey Roberts Rumel 23cm A cm 20cm A2159 A cm A2146

32 30 LIGATORS instrument quality level superior McGiveny Ligator Forceps 19cm A3605 Ligator, Haemorrhoidal ligator with cone A1990 Ligator Set ligator set in box A1992 Ligator Bands Contains: Natural Rubber, Zinc Oxide, Naphthenic Oil, Parrafin Wax, Stearic Acid, Antioxidant, Sulphur, Acclerators HAEMORRHOID LIGATOR BANDS NON-STERILE QTY 100 CODE: A1991 vial of 100 (non-sterile) A1991 Ligator Spare Parts loading cone ligator spring A1994 A1993

33 instrument quality level HIPP KLINI theatre Germany superior CURETTES 31 Bone Curettes Bunge Ø 7mm 14.5cm A6014 8mm 14.5cm A mm 14.5cm A6016 7mm 8mm 10mm Williger, double ended HIPP KLINI cm K A cm K A cm K A Volkmann 000 A A A A A6065 double ended 17cm A6077 Martini, double ended HIPP cm cm A cm A cm A Dermal Curettes Fox Ø HIPP 3mm 14cm A6073 4mm 14cm A6074 5mm 14cm A6075 6mm 14cm A6076 3mm 4mm 5mm 6mm Piffard medium #2 14cm A6044 large #3 14cm A6045

34 32 CURETTES instrument quality level superior Ear Curettes Buck 00 blunt sharp cm A cm A cm A cm A cm A cm A cm A cm A cm A cm A6049 Eye Curettes Meyhoefer Ø 1mm 13.5cm A mm 13.5cm A mm 13.5cm A mm 13.5cm A mm 2mm 3.5mm 4.5mm Uterine Curettes Sims, blunt 5mm 26cn A6039 6mm 26cm A6040 7mm 26cm A6041 8mm 26cm A mm 26cm A6046

35 instrument quality level HIPP theatre SPECULA 33 Eye Specula Barraquer Wire Barraquer Wire (Solid) Wire Specula - Infant HIPP Adult 15mm blades HIPP Adult 15mm blades HIPP Infant 5mm blades Kratz-Barraquer Wire Kratz-Barraquer Heavy (1mm) Wire Alfonso HIPP Adult 15mm blades HIPP Adult 15mm blades HIPP 8 x 5mm blades Murdoch Sauer HIPP Adult, left 15mm blades Adult, right 15mm blades Child, left 10mm blades Child, right 10mm blades HIPP 11mm blades

36 34 SPECULA instrument quality level HIPP theatre superior Eye Specula (cont d) Bangerter Cook Mellinger HIPP Adult 15mm blades HIPP Child 11mm blades HIPP Child 10mm Lester-Burch Lieberman V-wire Castroviejo HIPP Adult 15mm blades HIPP Adult 15mm blades V 15mm blades A5300

37 instrument quality level HIPP KLINI theatre Germany superior SPECULA 35 Vaginal Specula Grave Pederson Size Blade HIPP KLINI small 20x75mm K A5500 medium 35x95mm K A5501 large 35x115mm K A5502 Size Blade HIPP KLINI small 13x75mm K A5503 medium 22x100mm K A5504 large 25x120mm K A5505 Sims 25x65mm 30x70mm 35x85mm small medium large small medium large A5511 A5512 A x75mm 35x70mm 40x90mm

38 36 SPECULA instrument quality level superior Vaginal Specula (cont d) Kogan Endocervical Speculum 3mm 7mm with set screw & gauge 3mm wide tips 24cm A5506 with ratchet, no gauge 3mm wide tips 28cm A5507 7mm wide tips 28cm A5508 Nasal Specula Thudichum Size Blade No.0 18 x 8mm A5400 No.1 20 x 10mm A5401 No.2 22 x 12mm A5402 No.3 24 x 13mm A5403 No.4 26 x 13mm A5404 Proctoscopes Kelly Size Dimensions standard 21 x 50mm A2390 medium 27 x 50mm A2391 long 22 x 100mm A2392

39 instrument quality level SAYCO superior ward SCALPELS 37 Scalpel Handles Handles for blades SAYCO No. 3 (standard grip) A No. 3 (with scale in mm) A4956 No. 3 (round grip) A4952 No. 3 (hexagonal grip) A4958 No. 7 A No. 3 (standard grip) No. 3 (with scale in mm) No. 3 (round grip) No. 3 (hexagonal grip) No. 7 Handles for blades SAYCO No. 4 (standard grip) A No. 4 (with scale in mm) A4957 No. 9 (hollow handle) A4953 No. 4 (standard grip) No. 9 (hollow handle) Blades SAYCO Solid forged knife 277 Safety blade-box/5 447 No. 4 (standard grip) Safety Blade

40 38 PLASTER instrument quality level HIPP KLINI theatre Germany superior Wolff Cast Breaker Bruns Plaster Scissors Smooth Jaw Bruns Plaster Scissors Serrated Jaw 18cm HIPP KLINI 24cm K A6000 HIPP KLINI 24cm K A6005 HIPP KLINI 24cm K A6006 Esmarch Plaster Scissors Stille Cutting Shears Beeson Spreader 20cm A cm A cm A cm A6004

41 instrument quality level HIPP KLINI theatre Germany superior PLASTER 39 Hennig Spreader USA Model Spreader Haglund-Stille Spreader 27cm A cm A cm A5999 HOOKS, RETRACTORS Weitlaner Gelpi Parsonnet Epicardial HIPP Mini Small Medium Large x 3 teeth, blunt 10.5cm A x 3 teeth, sharp 10.5cm A x 4 teeth, blunt 14cm A x 4 teeth, sharp 14cm A4157 HIPP KLINI 1 x 1 teeth, sharp 11cm K A3353

42 40 HOOKS, RETRACTORS instrument quality level HIPP KLINI theatre Germany superior Spey Hook (Snook Ovarectomy) 7cm shank 11cm shank A3000 A3001 Hartman Cerumen Hook 16cm A2999 Delicate sharp 2 prong 3 prong blunt 2 prong 3 prong Sharp 2 prong 16cm A prong 16cm A3360 Blunt 2 prong 16cm A prong 16cm A3362 Senn-Miller blunt sharp HIPP KLINI blunt 16cm K A3355 sharp 16cm K A3352 Ragnell-Davis 15cm A3354

43 instrument quality level HIPP KLINI theatre Germany superior HOOKS, RETRACTORS 41 Gillies Skin Hook HIPP KLINI Sharp, 4mm Hook 18cm K A3358 Blunt, 4mm Hook 18cm A3356 sharp 4mm blunt 4mm Joseph Kilner 2mm 16cm A3351 5mm 16cm A3350 5mm 2mm HIPP KLINI Sharp, 2,5mm Hook 16cm K A3357 sharp 2.5mm Tracheal Hook 1 prong, blunt 16cm A3364 Roux Retractor 14cm 15cm 16cm A3376 A3377 A3378

44 42 PODIATRY instrument quality level SAYCO superior ward Nail Nippers Single leaf spring Double leaf spring Double leaf spring with lock narrow SAYCO 10.5cm cm A1953 narrow 16cm A1954 SAYCO 14cm A cm A Double leaf spring with lock Turnbull - Spring action with lock Compound action with lock 14cm A1957 pliers 13cm A1958 spare spring A1951 pliers 16cm A1950 spare spring A1951

45 instrument quality level HIPP theatre superior PODIATRY 43 Cuticle Cutter Nail Splitter SAYCO 10.5cm A HIPP 15cm Rasps Two Sided Rasp, Single End 20mm wide 22cm A2804 Four Sided Rasp, Double End 8mm 21cm A2805 Blacks Files narrow head, fine cut A2800 narrow head, medium cut angled A2801 angled narrow head, fine cut A2802 narrow head, medium cut A2803

46 44 SUCTION & IRRIGATION instrument quality level superior Suction Tips Poole Yankauer Frazier Ø 10mm A4999 Ø paediatric A4990 Ø size 8 A5000 adult A4991 size 10 A5001 size 12 A5002 Ear Syringe syringe, two nozzles & shield 100ml A2010 syringe, two nozzles & shield 150ml A2011 Spares O ring for nozzle O ring for plunger nozzle set shield A2015 A2012 A2013 A2014 Metal Catheter 14 french gauge A french gauge A french gauge A3855

47 instrument quality level HIPP theatre superior BIOPSY 45 Biopsy Forceps Tischler HIPP Standard (7 x 3mm jaw) 25cm shaft A6030 Baby (4.2 x 2.3mm jaw) 21cm shaft A6031 Baby Jaw Biopsy Punches Keyes Ø 2mm 10.5cm A6034 2mm RING CUTTERS Standard ring cutter 16cm spare blade A5550 A5560 Note: - for use on soft metals only Walton Walton ring cutter spare blade A5555 A5556 Note: - for use on soft metals only

48 46 DILATORS instrument quality level superior Hegar Single ended Double ended 3mm 4mm 5mm 6mm 7mm 8mm 9mm 10mm 11mm 12mm 13mm 14mm Set of 12 A1883 A1884 A1885 A1886 A1887 A1888 A1889 A1890 A1891 A1892 A1893 A1894 A / 2mm A / 4mm A / 6mm A / 8mm A / 10mm A / 12mm A / 14mm A / 16mm A / 18mm A / 20mm A / 22mm A / 24mm A / 26mm A1925 Hawkin-Ambler Single ended 3-6mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A mm A1020

49 instrument quality level superior DILATORS 47 Trousseau 14cm A1023 TOWEL CLIPS Backhaus Standard Cross Action Lorna 9cm A5150 8cm A cm A cm A cm A5152

50 48 PROBES instrument quality level SAYCO superior ward Splinter Probes Disposable, Double Ended SAYCO with caps 11cm 519 Eye Probes Disposable Eye Probe with Rubber Tips SAYCO with caps 11cm 520 Foreign Body Needle & Spud no caps A6020 Foreign Body Needle & Gouge with caps 15cm A6021 Foreign Body Spud & Gouge with caps 13.5cm A6022 Eye Magnet & Foreign Body Loop reversible screw handle 11.5cm A6023

51 instrument quality level HIPP SAYCO theatre superior ward PROBES 49 Probes, Seekers and Directors Stainless Steel Alloy Handle 1mm Ø 2mm Ø 2mm Ø dissecting angled angled blunt blunt sharp with eye sharp blunt blunt sharp blunt blunt SAYCO SAYCO SAYCO SAYCO SAYCO SAYCO SAYCO 14cm A2366 A cm 226 HIPP HIPP 20cm cm Applicators Cotton (standard) 23cm A1024 Farrell Cotton 13cm A2380 Jobson-Horne 12cm 18cm A2381 A2382 Uckerman 15cm A2378

52 50 PROBES instrument quality level superior Laryngeal Mirrors # 1 # 2 # 3 # 4 # 5 # 6 # 7 # 9 12mm Ø 14mm Ø 16mm Ø 18mm Ø 20mm Ø 22mm Ø 24mm Ø 28mm Ø Mirror with fixed handle Mirror without handle Handle for laryngeal mirrors Size Ø Size Ø 10cm A2260 # 2 14mm A2275 # 1 12mm A2261 # 3 16mm A2276 # 3 16mm A2263 # 4 18mm A2277 # 5 20mm A2265 # 5 20mm A2278 # 6 22mm A2266 # 6 22mm A2279 # 7 24mm A2267 # 7 24mm A2280 # 9 28mm A2269 # 10 30mm A2270 Extractors Schamberg 10cm A6027 Unna teardrop ends 14cm A6024 round ends 14cm A6025

53 instrument quality level superior PROBES 51 Sounds, Uterine Sims Malleable - Silver plated brass 32cm A3819 Rigid - Solid stainless steel 32cm A3820 RONGEURS Liston Bone Cutting Forceps Single action Compound action angled 14cm 17cm A9947 A cm A9966

54 52 HOLLOWWARE (STAINLESS) instrument quality level superior Kidney Dishes 15cm 20cm 25cm 30cm A7408 A7409 A7410 A7411 Bowls Ø Depth 60mm 30mm A mm 40mm A mm 50mm A mm 60mm A mm 60mm A mm 85mm A mm 85mm A7017 Jars Jar Type Ø Depth Dressing with lid 100mm 100mm A7003 Dressing with lid 150mm 150mm A7004 Forceps 50mm 125mm A7001 Forceps 50mm 200mm A7002 Measuring Jugs Graduated 500ml A7031 Graduated 1000ml A7032 Graduated 2000ml A7033

55 instrument quality level superior HOLLOWWARE (STAINLESS) 53 Trays Tray Type Instrument, with lid 200 x 150 x 40mm A7021 Instrument, with lid 300 x 200 x 50mm A7023 Catheter, with lid 300 x 80 x 40mm A7022 Catheter, with lid 400 x 100 x 40mm A7024 HOLLOWWARE (POLYPROPYLENE) Kidney Dishes (HEAVY DUTY) Autoclavable. Heavy duty polypropylene for repeated use. Permanent graduated measurement markings. Australian made. Colour Capacity Approx Size (mm) Sales Unit Product Code Green 700ml 230 x 120 x 45 Each DK700GU Yellow 700ml 230 x 120 x 45 Each DK700YU Green 1000ml 320 x 150 x 50 Each DK1000GS Kidney Dishes (Standard) Washable. Single patient use. Permanent graduated measurement markings. Australian made. Colour Capacity Approx Size (mm) Sales Unit Product Code Green 700ml 230 x 120 x 45 Pack of 25 DK700GS Yellow 700ml 230 x 120 x 45 Pack of 25 DK700YS

56 54 HOLLOWWARE (POLYPROPYLENE) Instrument Trays (HEAVY DUTY) Autoclavable. Heavy duty polypropylene for repeated use. Australian made. Colour Type Approx Size (mm) Sales Unit Product Code Green Solid 220 x 140 x 20 Each CBF Green Solid 245 x 195 x 40 Each CBF Green Perforated 180 x 150 x 30 Each CBF Green Perforated 270 x 150 x 30 Each CBF Instrument Trays (Standard) Washable. Single patient use. Australian made. Colour Capacity Approx Size (mm) Sales Unit Product Code Green 500ml 500 x 70 x 30 Each TP500G Green 200ml 200 x 70 x 30 Each TP200G Yellow 200ml 200 x 70 x 30 Each TP200Y Bowls (HEAVY DUTY) Autoclavable. Heavy duty polypropylene for repeated use. Permanent graduated measurement markings. Australian made. Colour Capacity Approx Size (mm) Sales Unit Product Code Green 150ml 100 x 50 Each PB100GU Green 500ml 140 x 70 Each PB140GU Green 1000ml 185 x 90 Each PB185GU Green 1500ml 205 x 80 Each PB205GU Green 2500ml 240 x 110 Each PB240GU Green 3500ml 305 x 90 Each PB305GU Green 6000ml Each PB345GU

57 HOLLOWWARE (POLYPROPYLENE) 55 Bowls (Standard) Washable. Single patient use. Permanent graduated measurement markings. Australian made. Colour Capacity Approx Size (mm) Sales Unit Product Code Green 250ml 95 x 50 Pack of 25 PB250G Green 500ml 115 x 60 Pack of 25 PB500G Green 1000ml 145 x 80 Pack of 30 PB1000G Green 2000ml 195 x 90 Pack of 25 PB2000G Denture Cup & Lid Washable. Single patient use. Permanent graduated measurement markings. Australian made. Colour Capacity Approx Size (mm) Sales Unit Product Code Blue 250ml 95 x 50 Pack of 25 PB250B Clear Lid n/a 95 diam Pack of 25 PB250LID Medicine Measures Washable. Single patient use. Permanent graduated measurement markings. Australian made. Description Colour Capacity Sales Unit Product Code Measure graduated 2.5ml - 30ml Clear 30ml Pack of 100 PMM30 Measure graduated 5ml - 60ml Clear 60ml Pack of 25 PMM60 Lid to suit 30ml & 60ml measures Clear n/a Pack of 100 PMM30L

58 56 STERILISATION CONTAINERS MiniSet Sterilisation Containers Small dimension sterile containers that are ideally suited to deal with the ever increasing demands of surgery in the modern practice. Just perfect for all those who need their surgical instruments clearly organized in small tray based sets. A great way to protect and extend useful the life of valuable instruments, including delicate microinstruments. Also an ideal space-saving storage solution. We guarantee that our sterile container system will improve your practice s instrument sterilisation processes. Three Sizes - One System Simple easy to use design MiniSet containers are available in three different heights. The container widths are matched to each other, the lids have raised non-skid resting buttons thus enabling optimal space utilisation both inside the steriliser and during storage. Size Product Code 300 x 140 x 40mm SC x 140 x 70mm SC x 140 x 100mm SC Lightweight Corrosion-proof aluminium - The container box is made of a high quality aluminum alloy with an anodized surface. The extremely low weight of the aluminum makes each container significantly lighter than stainless steel. Physical properties such as a high heat storage capacity and good thermal conductivity guarantee the best drying results. Steam Penetrable - Bacterial Barrier Perforated lid and bottom configuration to allow excellent steam penetration and flow. Bacteria filter inserts allow steam to enter and leave freely but excludes bacteria. Bacteria filter choice of either heavy duty re-usable textile or disposable paper with sterilisation indicator. Identification Label insert slots on both sides of container for easy set identification. Optional sterility indicator labelling safety system that makes sterility verification prior to the surgery. Lets you verify from outside whether container contents have been properly sterilised. Cliplock Lid Safety feature that keeps lid securely closed during sterlisation and storage. Assists in maintaining the sterility of container contents during transport and storage. Tamper evident.

59 STERILISATION CONTAINERS 57 MiniSet Sterilisation Containers Accessories Description Product Code Silicone Mat SC Bacteria Filter - paper SC Bacteria Filter - fabric SC Label Insert with Sterility Indicator SC Label Dispenser SC Silicone Mat 270 x 125mm size fits snuggly into MiniSet containers. Protects valuable instruments during the autoclaving process. Organizes and separates instruments inside the container. Veterinary Orthopaedic Screw Rack Screw rack inserts snuggly into our 100mm deep MiniSet Container. Fits both 2.7mm and 3.5mm screws. Made in Australia from 316L grade stainless steel. Size Product Code 265 x 50 x 50mm (base 120mm) SCR

60 58 INSTRUMENT KITS instrument quality level HIPP KLINI theatre Germany superior Veterinary Instrument Kits Bydand Veterinary Kits have been developed through the guidance of Veterinary professionals and wholesalers. Purchasing instruments in the form of pre-assembled kits helps to take out some of the guesswork involved in the instrument selection process. These kits are designed for convenience and are available at a significant saving versus purchasing instruments on an individual basis. These kits are available in up to three different grades. We also recognise that it is still preferrable to purchase some instruments based on personal preference and that is the reason why we have omitted needle holders from being included in any of our kits, with the exception of our ophthalmic kits. Spey Kits CANINE FELINE A9010-G1 A9010-G2 A9010-G3 A9013-G1 A9013-G2 A9013-G3 GRADE I GRADE II GRADE III GRADE I GRADE II GRADE III Description Size Qty Item # Qty Item # Qty Item # Qty Item # Qty Item # Qty Item # Spey Hook 7cm shank 7cm 1 A A A cm shank 11cm 1 A A A3001 Scalpel Handle No.3 #3 1 A A A4950 No.4 #4 1 A A A4951 Artery Forceps Halsted-Mosquito, 12.5cm 4 A A A A A A2121 Crile, 14cm 2 A A A A A A2111 Crile, 14cm 2 A A A A A A2110 Rochester-Carmalt, 16cm 2 A A A A A A2100 Dressing Forceps Adson, standard point 12cm 1 K K A K K A2401 Tissue Forceps Adson-Brown 12cm 1 K K A K K A2554 Allis, 4x5 teeth 15cm 2 A A A A A A2605 Scissors Mayo, 14.5cm K A K A3202 Metzenbaum, 14cm 1 K K Metzenbaum, 16cm A A3256 Towel Clips Backhaus 9cm 4 A A A A A A5150

61 instrument quality level HIPP KLINI theatre Germany superior INSTRUMENT KITS 59 Veterinary Instrument Kits Suturing Kits SUTURING A9016-G2 A9016-G3 GRADE II GRADE III Description Size Qty Item # Qty Item # Scalpel Handle No.4 #4 1 A A4951 Artery Forceps Crile, 14cm 2 A A2111 Dressing Forceps Adson, standard point 12cm 1 K A2401 Tissue Forceps Tissue, 1x2 teeth 14cm 1 A A2616 Adson, 1x2 teeth 12cm Scissors Mayo, 14.5cm 1 K A3202 Towel Clips Backhaus 9cm 4 A A5150 Cross-action 9cm General Soft Tissue Kits SOFT TISSUE KIT A9018-G1 A9018-G2 A9018-G3 GRADE I GRADE II GRADE III Description Size Qty Item # Qty Item # Qty Item # Scalpel Handle No.4 #4 1 A A A4951 Artery Forceps Halsted-Mosquito, 12.5cm 2 A A A2121 Halsted-Mosquito, 12.5cm 2 A A A2120 Crile, 14cm 2 A A A2111 Crile, 14cm 2 A A A2110 Rochester-Carmalt, 16cm 2 A A A2105 Rochester-Carmalt, 16cm 2 A A A2100 Dressing Forceps Adson, standard point 12cm 1 K K A2401 Tissue Forceps Adson, 1x2 teeth 12cm 1 K K A2600 Adson-Brown 12cm 1 K K A2554 Allis, 4x5 teeth 15cm 4 A A A2605 Scissors Mayo, 14.5cm K A3202 Metzenbaum, 14cm 1 K Metzenbaum, 15.5cm A3256 Spencer, suture/ligature 9cm 1 A A A3400 Retractors Senn-Miller 16cm 2 A A A3555 Towel Clips Backhaus 9cm 4 A A A5150 Cross-action 9cm

62 60 INSTRUMENT KITS instrument quality level HIPP KLINI theatre Germany superior Veterinary Instrument Kits Ophthalmic Kits Lieberman V-wire speculum for Ophthalmic Kit Grades I & II Barraquer wire speculum for Ophthalmic Kit Grade III OPHTHALMIC A9021-G1 A9021-G2 A9021-G3 GRADE I GRADE II GRADE III Description Size Qty Item # Qty Item # Qty Item # Needle Holders Castraviejo - smooth jaw & no lock 13cm 1 A A A4260 Eye Specula Liebermann V-wire (15mm blades) 1 VS VS Barraquer (15mm blades) 1 VS Scalpel Handle No.7 #7 1 A A A4954 Chalazion Forceps Desmarres #2 1 A A A2517 Dressing Forceps Adson, standard point 12cm 1 K K A2401 Tissue Forceps Adson Micro, 1x2 teeth 12cm K A2559 Scissors Iris, 11cm K A3152 Strabismus, 11cm K A3157

63 INSTRUMENT KITS 61 Educational/Dissection Kits We offer a complete range of instruments for dissecting/educational kits for students attending all types of learning institutions, including Universities, TAFE and Schools. We assemble kits according to your specification. We can fulfill the kit requirements for all types of scientific courses that contain a dissection component in the syllabus, including: Agriculture Anatomy Animal Husbandry Biology Dentistry Environmental Studies Histology Medicine Nursing Psychology Veterinary All kits are supplied in high quality, durable zipped wallets. Wallets are available in four colours, Black, Green, Navy, and Red. Screenprinting of your logo and name, etc can be arranged (minimum order quantity applies). Completed sets are supplied in tamper-proof heat sealed plastic bags. Bar-coding of wallets can also be arranged. Choose from any of the instruments listed in this catalogue to be included in your customised kit. Additionally, we can also supply the following educational items for inclusion in your kit: Microscope Slides and Cover Slips Magnifying Glasses Brushes Penlight and Examination Torches For further information and quotation please call us.

64 62 INSTRUMENT CARE Introduction These instructions are intended as general guidance for cleaning and sterilisation of Bydand reusable surgical instruments. It is important to recognise that equipment, operators, cleaning agents and procedures all have a contribution to the efficacy of instrument processing. In general there are two methods for cleaning instruments : a Manual method and an Automated method. Whenever possible Automated method should be utilised. Automated cleaning process using an Automated Washer-Disinfector is more reproducible, therefore more reliable, and staff are less exposed to the contaminated instruments and the cleaning agents used. Always ensure that staff handling instruments and cleaning agents wear suitable protective apparel. In particular, take note of the instructions provided by the cleaning agent manufacturer for correct handling and use of the product. TUNGSTEN CARBIDE INSTRUMENTS: Bydand instruments that contain tungsten carbide (TC) can be easily identified by their distinctive gold coloured handles. DO NOT clean TC instruments in ultrasonic cleaners the vibrations will damage the weld between the TC and the stainless steel. DO NOT use solutions that contain benzyl ammonium chloride (BAC) to clean/disinfect TC instruments. The BAC will soften and destroy the TC inserts. Only use ph neutral cleaners and lubricants on TC instruments. High ph will break down the carbide and the instrument will deteriorate prematurely. Low ph will begin to break down the weld material that adheres the TC to the stainless steel and the TC will lose hardness. SINGLE USE INSTRUMENTS: Instruments labelled Single-Use must not be reprocessed as they are not designed to perform as intended after the first usage. 1. Holding/Pre-soak Never allow blood, tissue and debris to dry onto instrument surfaces. If rinsing and decontamination processes are not immediately available, pre-treat instruments or hold them in a neutral ph pre-soak enzymatic solution after patient use but prior to actual cleaning. We recommend our PreFoam (AMJ90TP) foaming spray for pre-soaking soiled instruments and scopes. Also our PreGel (AMJ91A) concentrated preclean gel is ideal for this purpose. As soon as possible, rinse, disinfect, and clean instruments as follows: 2. Rinse Immediately after surgery, remove organic materials by rinsing instruments under warm (not hot) running water. This rinse should remove most debris. DO NOT process dissmilar metals (stainless, copper, chrome plated) together. 3. Disinfect Immerse instruments in an appropriate disinfectant for minutes. Always closely follow manufacturers recommended disinfecting time and solution preparation instructions. Then rinse again. CAUTION: Disinfected instruments are NOT STERILE. Never expose stainless steel instruments to bleach or other corrosive chemicals. Exposure to bleach may result in instrument surfaces pitting and void all manufacturer warranties. 4. Cleaning All blood, body fluids and tissue must be completely removed from an instrument prior to sterilisation. Irrespective of the cleaning method used always observe the following: a) Use ONLY neutral ph (7) cleaners and detergents. b) ALWAYS use distilled (demineralised) water. d) Dissimilar metal instruments MUST BE separated. e) f) DO NOT let sharps (scissors, knives, etc) touch each other during the cleaning process. g) All instruments with hinges, box locks, ratchets, etc MUST BE processed in an open position. i/ Soak: Soaking instruments in an enzymatic cleaner bath is an effective way of removing organic material. Make sure to follow the cleaning agent manufacturers instructions carefully. We recommend our Viruzyme III for this purpose, using a typical dosage of 3-5ml/L, and soak for 10 minutes. Ensure that all spaces and recesses are completely filled with cleaning solution and no air pockets exist. Maintain a solution temperature of 20 to 40 C during the soaking process. Rinse instruments under running water to remove solution. Change solution frequently. ii/ Ultrasonic Soaking & Cleaning: This is widely recognised as being the most effective method of cleaning instruments. However, extreme care must be taken when using this method to prevent damage being caused to instruments. CHECK that your selected cleaner can be safely used with your ultrasonic cleaner. Process instruments as per the manufacturers recommended cleaning cycle - NEVER LONGER. We recommend our Viruzyme III for this purpose, using a typical dosage of 3-5ml/L, and soak for 3 minutes. Upon completion of the cycle, remove instruments IMMEDIATELY and rinse.

65 INSTRUMENT CARE Cleaning (cont d) iii/ Automatic Washer Sterilisers: Follow manufacturers recommendations but ensure instruments are lubricated after the last rinse cycle and before the sterilisation process. iv/ Manual Cleaning: Use a stiff nylon brush. Do not use steel wool or wire brushes. Brush delicate instruments carefully, and if possible separately from general instruments. After scrubbing rinse instruments throughly in running water to remove cleaning solution. While rinsing, open and close any hinged instruments, such as scissors, to ensure that the hinged areas are rinsed out and no debris remains. d) Ensure that instrument surfaces are visibly clean and free from stains and debris. Inspect all instruments for proper function and good condition. e) After scrubbing, rinse instruments thoroughly under running water. While rinsing, open and close scissors, haemostats, needle holders and other hinged instruments to make sure the hinge areas are rinsed out properly. 5. After Cleaning i/ Inspection: Inspect each instrument for proper function and condition. Make sure instrument surfaces are visibly clean and free from stains. We recommend using our Virudet 12 Stain Remover (AMJ73A) to help remove any resdiue stains. Separate all dissimilar metals prior to sterilisation. Allow instruments to air-dry. If instruments are to be stored prior to sterilisation ensure that they are stored in a clean and dry environment. NOTE: Caring for your instruments by following these cleaning, maintenance, and sterilisation guidelines will ensure trouble-free functionality and increase the longevity of your Bydand instruments. Not following proper instrument care guidelines and procedures will void all manufacturers warranties. For further information about our range of instrument cleaning and maintenance products please refer to our Consumables, Cleaners & Other Medical Products Catalogue or contact our office directly. 6A. Autoclaving Prior to sterilising, inspect all instruments for cleanliness. Ensure that instruments are visibly clean and free from stains and debris, INCLUDING any detergent residue - as this can cause staining upon autoclaving. If an instrument exhibits staining please refer to our Stain Indication Guide on the next page.. To sterilise follow these steps: i/ Lubricate: Any hinged instruments should be inspected for adequate lubrication at the screw or box joint. Treat any instruments lacking adequate lubrication. A nonsilicone, water soluble lubricant must be used. We recommend using our MedLube Instrument Lubricant & Rust Inhibitor (AMJ92A or AMJ92C). DO NOT use industrial oils or lubricants. ii/ Sterilising Instruments: either individually or in sets Individual instruments: Disposable pouches are ideal. If sterilising an instrument with a ratchet lock, be sure to use a pouch that is wide enough for the instrument to be sterilised in an open (unlocked) position. Instruments that are locked during autoclaving can experience cracking around hinges or other problems due to heat expansion. Instrument sets: Unlock all instruments and sterilise in open position. Place heavy instruments on the bottom of set (when two layers are required). DO NOT OVERLOAD trays or chamber. CAUTION: With most portable tabletop autoclaves, at the end of the autoclave cycle and before the drying cycle, unlock the door and open slightly (about 5mm). Then run the dry cycle for the period recommended by the autoclave manufacturer. If the autoclave door is fully opened before the drying cycle, cold air will rush into the chamber causing condensation on the instruments that may result in water stains or cause wetpacks. Check autoclave filters and chamber cleanliness regularly. Tip; Instrument Stain Remover such as our Virudet 12 Stain Remover (AMJ73A) is an effective way of cleaning the auotclave chamber. 6B. Chemical/Cold Sterilisation Most chemical/cold sterilisation treatments render instruments sterile only after 10 hour immersion. This prolonged action can be more detrimental than the usual 20 minute autoclave cycle. Follow sterilisation cycle and process as recommended by the steriliser manufacturer. CAUTION: For instruments with tungsten carbide insert jaws, we do not recommend using chemical/cold sterilisation treatments as the action may deteriorate the tungsten carbide.

66 64 INSTRUMENT CARE INSTRUMENT STAIN IDENTIFICATION AND TREATMENT Contrary to popular belief the majority of instrument staining problems are not caused by faults within the instruments or the metal used within the manufacturing process. In fact over 95% of instrument staining is caused by incorrect or inadequate cleaning and sterilising processes. The table below has been compiled in order to assist those involved in the instrument cleaning and sterilisation process identify the cause of instrument staining and recommended methods to eliminate future staining occuring. Stain Colour Cause Treatment Orange-Brown to Reddish (resembles rust) Black, Brown & Pitting Rainbow or Multi-colour If stain rubs off and no pitting exists, problem is most likely to be from: Detergent residue on towels or a high Alkaline ph (>8) detergent is being used leaving a phosphate surface deposit Dried blood Iodine or betadine residue Subjected to a low Acidic ph (<6) substance, such as: Low ph detergent residue on instruments or towels Exposed to other chemicals compounds from cold soaking Exposure to Bleach or other ammonia compounds Instruments have been heat comprimised, tensile strength is comprised Check ph level of detergent and change to neutral ph detergent Check ph of towels to verify if detergent residues are present Rinse instruments thoroughly in warm water for a minimum of 30 seconds Use a stain remover on both instruments and autoclave If problem persists, consider changing to distilled water for rinsing process. Particularly if local water supply is high in iron or other minerals Check ph level of detergent and change to neutral ph detergent Check ph of towels to verify if detergent residues are present Eliminate exposure to chemicals or bleach Rinse thoroughly and consider distilled water for contiued rinsing. Particularly if local water supply is high in iron or other minerals. Use a stain remover on both instruments and autoclave If pitting remains, return instrument to manufacturer for evaluation Check the autoclave for proper temperature Bluish-Green Bluish-Black Bluish-Gray (possible pitting) Rust Spotting Light or Dark Cross-contamination between dissimilar metals Separate instruments by metal type before cleaning or autoclaving Incorrect preparation of cold sterilisation solutions Follow solution manufacturer s direction closely, particularly temperature and soak time Use distilled water Change solution as per manufacturer s instructions Sterilising instruments of dissimilar metals in same cycle Chemicals in detergents or excess amounts of iron or other minerals from local water supply New instruments may be slightly magnetised during the manufacturing process Slow evaporation of water drops with mineral content Instrument wraps and towels may contain detergent residue Separate instruments by metal type prior to sterilisation Use neutral ph detergents and change to distilled water. Particularly if local water supply is high in iron or other minerals. Wipe off residue leaving shiny metal underneath Use stain remover on both instruments and autoclave After several autoclaving treatments, the new instruments will lose their magnetic property Eliminate water droplets and moisture by adhering to autoclave operating instructions Use stain remover on both the instruments and autoclave Use neutral ph detergents and change to distilled water. Particularly if local water supply is high in iron or other minerals. Wash wraps and towels in neutral ph detergent